Provider Demographics
NPI:1043312531
Name:SPRINGER, DENNIS JAMES (DPM)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JAMES
Last Name:SPRINGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-4271
Mailing Address - Country:US
Mailing Address - Phone:330-494-2700
Mailing Address - Fax:330-494-6898
Practice Address - Street 1:1266 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-4271
Practice Address - Country:US
Practice Address - Phone:330-494-2700
Practice Address - Fax:330-494-6898
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2001213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4389870001OtherADMINISTAR DMERC B
OH0471109Medicaid
OH4389870001Medicare NSC
OH4389870001OtherADMINISTAR DMERC B
OHSP0493612Medicare PIN